<h3>Objective:</h3> To cross-sectionally study subjective memory complaints (SMC) in autosomal dominant Alzheimer disease (ADAD). <h3>Methods:</h3> We examined self-reported and study partner–based SMC in 52 young, cognitively unimpaired individuals from a Colombian kindred with early-onset ADAD. Twenty-six carried the <i>PSEN-1</i> E280A mutation, averaging 7 years of age younger than the kindred9s expected clinical onset. Twenty-six were age-matched noncarriers. Participants also underwent structural MRI and cognitive testing. <h3>Results:</h3> Self-reported SMC were greater in carriers than noncarriers (<i>p</i> = 0.02). Study partner–based SMC did not differ between groups (<i>p</i> = 0.21), but in carriers increased with age (<i>r</i> = 0.66, <i>p</i> &lt; 0.001) and decreased with hippocampal volume (<i>r</i> = −0.35, <i>p</i> = 0.08). <h3>Conclusions:</h3> Cognitively unimpaired <i>PSEN-1</i> carriers have elevated SMC. Self-reported SMC may be a relatively early indicator of preclinical AD, while partner- reported SMC increases later in preclinical AD, closer to clinical onset.